Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.38 / $3,460.00 / $6,915.00	Facility		$523.38	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $504.15 / $992.28	Professional		$292.30	$504.15	$992.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $432.70 / $489.55	Professional		$432.70	$432.70	$489.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $467.96 / $853.99	Professional		$318.18	$467.96	$853.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.94 / $665.28 / $987.06	Facility		$548.94	$665.28	$987.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $535.54 / $974.44	Facility		$535.54	$535.54	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.24 / $563.37 / $1,063.83	Professional		$366.24	$563.37	$1,063.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.01 / $583.34 / $1,205.00	Professional		$379.01	$583.34	$1,205.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.66 / $867.55 / $876.58	Professional		$563.66	$867.55	$876.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.03 / $618.04 / $1,125.24	Professional		$412.03	$618.04	$1,125.24